The clinical application of three-dimensional computed tomography (3D-CT) technology has rapidly expanded in the last decade and has been applied to lung cancer surgery. Two consecutive reports of large-scale prospective clinical trials from Japan and the United States have brought a paradigm shift in lung cancer surgery and may have led to a rapid increase in sublobar lung resections. Sublobar resection, especially segmentectomy, requires a more precise understanding of the anatomy than lobectomy, and preoperative 3D simulation and intraoperative navigation support it. The latest 3D simulation software packages are user-friendly. Therefore, in this narrative review, we focus on recent attempts to apply 3D imaging technologies, particularly in the sublobar resection of the lung, and review respective research and outcomes. Improvements in CT accuracy and the use of 3D technology have advanced lung segmental anatomy. Clinical applications have enabled the safe execution of complex sublobar resection through a minimally invasive approach, such as video-assisted thoracoscopic surgery and robotic surgery. However, currently, many facilities still render 3D images on two-dimensional monitors for usage. In the future, it will be challenging to further spread and advance intraoperative navigation through the application of 3D output technologies such as extended reality.
三维计算机断层扫描（3D-CT）技术的临床应用在过去十年中迅速扩展，并已应用于肺癌手术领域。日本和美国相继发表的两项大规模前瞻性临床试验报告，推动了肺癌手术模式的转变，并可能促使肺亚叶切除手术数量快速增长。相较于肺叶切除术，亚肺叶切除（尤其是肺段切除术）需要对解剖结构有更精确的掌握，而术前三维模拟与术中导航技术为此提供了重要支持。最新的三维模拟软件操作便捷，因此本文通过叙述性综述，重点探讨三维成像技术在肺亚叶切除领域的最新应用尝试，并对相关研究成果进行梳理。CT精度的提升与三维技术的应用，推动了肺段解剖学的发展。临床实践已证明，通过电视辅助胸腔镜手术和机器人手术等微创入路，能够安全实施复杂的亚肺叶切除术。然而目前许多医疗机构仍依赖二维显示器呈现三维图像进行手术操作。未来，如何通过扩展现实等三维输出技术进一步推广和优化术中导航系统，仍面临挑战。
肿瘤(癌症)患者之家